| NPI | 1790019123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MACIAS Exec P.D. 818-787-4151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 10327AP) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |